title: Excision of a permanent inferior vena cava filter with multiple vena caval perforations.
abstract: Perforation of an inferior vena cava filter by one the filter device hooks is a recognized possible complication of this device. We describe a case of surgical excision of a permanent inferior vena cava filter associated with multiple perforations of surrounding structures by each of the 6 hooks of the device. Structures affected include the third lumbar vertebral body, transverse mesocolon, the infrarenal aorta, the duodenum, and the psoas muscle. A thorough understanding of the filter design and adequate preoperative imaging were vital in planning the safe surgical excision of this device.
authors.affiliation: Department of Vascular Surgery, Groupe Hospitalier Pitié Salpêtrière, Paris, France. Electronic address: fabien.koskas@psl.aphp.fr.
authors.forename: Yannick
authors.initials: Y
authors.lastname: Georg
authors.affiliation: Department of Vascular Surgery, Groupe Hospitalier Pitié Salpêtrière, Paris, France.
authors.forename: Theresa
authors.initials: T
authors.lastname: Khalife
authors.affiliation: Department of Vascular Surgery, Groupe Hospitalier Pitié Salpêtrière, Paris, France.
authors.forename: Faris
authors.initials: F
authors.lastname: Alomran
authors.affiliation: Department of Vascular Surgery, Groupe Hospitalier Pitié Salpêtrière, Paris, France.
authors.forename: Julien
authors.initials: J
authors.lastname: Gaudric
authors.affiliation: Department of Vascular Surgery, Groupe Hospitalier Pitié Salpêtrière, Paris, France.
authors.forename: Laurent
authors.initials: L
authors.lastname: Chiche
authors.affiliation: Department of Vascular Surgery, Groupe Hospitalier Pitié Salpêtrière, Paris, France.
authors.forename: Fabien
authors.initials: F
authors.lastname: Koskas
mesh_terms: D000368:Aged; D001011:Aorta / Q000293:injuries; D003106:Colon / Q000293:injuries; D020878:Device Removal; D004386:Duodenum / Q000293:injuries; D005260:Female; D006801:Humans; D007416:Intestinal Perforation / Q000209:etiology; D008159:Lumbar Vertebrae / Q000293:injuries; D011474:Prosthesis Design; D016658:Psoas Muscles / Q000293:injuries; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D057772:Vascular System Injuries / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D016306:Vena Cava Filters / Q000009:adverse effects*; D014682:Vena Cava, Inferior / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery*